Individual provider · NPI-1

Carlos Damian Duardo

Day Training, Developmentally Disabled Services · Hialeah, FL

NPI number1508945189
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1508945189
Entity type
Individual (NPI-1)
Name
Carlos Damian Duardo
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2006
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

434 E 47th St
Hialeah, FL 33013-1864

Phone 305-924-0780

Mailing address

434 E 47th St
Hialeah, FL 33013-1864

Phone 305-924-0780

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